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. 2022 Apr;33(4):911-918.
doi: 10.1007/s00192-021-04976-8. Epub 2021 Oct 2.

A new titanium-covered transobturator tape for surgical treatment of stress urinary incontinence

Anne-Claude Fahrni  1 , Cornelia Betschart  2 , Jean Bouquet de la Jolinière  1 , Jean-Bernard Dubuisson  1 , Anis Feki  1 , Attila Louis Major  3   4
Affiliations

A new titanium-covered transobturator tape for surgical treatment of stress urinary incontinence

Anne-Claude Fahrni et al. Int Urogynecol J. 2022 Apr.

Abstract

Introduction and hypothesis: To assess the long-term satisfaction, cure rate and safety of a new titanium-covered transobturator tape compared to polypropylene tape for the treatment of stress urinary incontinence (SUI).

Methods: A prospective study was conducted with 151 patients. Seventy patients underwent transobturator sling surgery with titanium tape from 2011 to 2019, and a historical control group (CG) of 81 patients was treated with a noncoated tape and underwent incontinence surgery from 1999 to 2009. We compared patient-reported outcome measures (PROMs) with the incontinence outcome questionnaire (IOQ).

Results: The median follow-up was 2½ years in both groups. Based on responses to the IOQ, a statistically significantly shorter time of recovery (IOQ 15: 21.3 ± 26.4 [TG], 40.2 ± 38.5 [CG], p = 0.02), improvement of sex life (IOQ 13: 34.1 ± 29.4 [TG] vs. 65.3 ± 35.6 [CG], p = 0.01) and less voiding dysfunction (IOQ 19: 30.9 ± 28.1 [CG], 9.3 ± 18.6 [TG], p = 0.01) were observed in the TG. Objectively, no postoperative urinary retention was observed in the TG, but four cases were described in the CG. Ten patients needed a reoperation for SUI in the CG compared to three in the TG (p = 0.03).

Conclusion: The titanium-covered transobturator sling had superior recovery time, improved sexual function and reduced reoperation rate compared to a historical polypropylene group.

Keywords: Incontinence outcome questionnaire (IOQ); Midurethral slings; Patient satisfaction; Stress urinary incontinence; Titanium-covered transobturator tape.

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Conflict of interest statement

The authors have no conflict of interests to declare.

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References

    1. Lukacz ES, Santiago-Lastra Y, Albo ME, Brubaker L. Urinary incontinence in women: a review. JAMA. 2017;318(16):1592–1604. doi: 10.1001/jama.2017.12137. - DOI - PubMed
    1. Luber KM. The definition, prevalence, and risk factors for stress urinary incontinence. Rev Urol. 2004;6(Suppl 3):S3–S9. - PMC - PubMed
    1. Medina CA, Costantini E, Petri E, Mourad S, Singla A, Rodríguez-Colorado S, et al. Evaluation and surgery for stress urinary incontinence: a FIGO working group report. Neurourol Urodyn. 2017;36(2):518–528. doi: 10.1002/nau.22960. - DOI - PubMed
    1. Weight Loss to Treat Urinary Incontinence in Overweight and Obese Women [Internet]. [cited 2020 Jun 11]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2877497/ - PMC - PubMed
    1. Imamura M, Williams K, Wells M, McGrother C. Lifestyle interventions for the treatment of urinary incontinence in adults. Cochrane Database Syst Rev [Internet]. 2015 [cited 2020 Jun 11];(12). Available from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003505.pub5/... - DOI - PMC - PubMed

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